A Study to Evaluate KarXT as a Treatment for Psychosis Associated With Alzheimer's Disease (ADEPT-4)
Purpose
The purpose of this study is to evaluate the safety and efficacy of KarXT in adult participants with mild to severe Alzheimer's Disease (AD) with moderate to severe psychosis related to AD.
Condition
- Alzheimer Disease
Eligibility
- Eligible Ages
- Between 55 Years and 90 Years
- Eligible Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- Patients who are 55 to 90 years of age, inclusive, at the time of Screening (Visit 1). - Patients who are diagnosed with AD based on the 2024 National Institute on Aging - Alzheimer's Association criteria with AD biomarker confirmation. - Patient must have a magnetic resonance imaging (MRI) or computed tomography (CT) scan of the brain (completed within the past 5 years) taken during or subsequent to the onset of dementia to rule out other central nervous system (CNS) disease that could account for the dementia syndrome, eg, major stroke, neoplasm, subdural hematoma. - Patient must have a history of psychotic symptoms (meeting International Psychogeriatric Association criteria) for at least 2 months prior to Screening (Visit 1) (participants may or may not have symptoms of agitation).
Exclusion Criteria
- Patients will not be able to participate if they have:. i) Psychotic symptoms that are primarily attributable to a condition other than the AD causing the dementia, eg, schizophrenia, schizoaffective disorder, delusional disorder, or mood disorder with psychotic features. ii) History of major depressive episode with psychotic features during the 12 months prior to Screening, or history of bipolar disorder, schizophrenia, or schizoaffective disorder. iii) Patients are not able to participate if they have certain safety concerns, including certain laboratory test irregularities. - Other protocol-defined Inclusion/Exclusion criteria apply.
Study Design
- Phase
- Phase 3
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel Assignment
- Primary Purpose
- Treatment
- Masking
- Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
Arm Groups
| Arm | Description | Assigned Intervention |
|---|---|---|
|
Experimental KarXT |
|
|
|
Experimental Placebo |
|
Recruiting Locations
Chandler Clinical Trials, LLC
Chandler 5289282, Arizona 5551752 85224
Chandler 5289282, Arizona 5551752 85224
Contact:
Muhammad (Osman) Salim Khan, Site 1227
480-716-4590
Muhammad (Osman) Salim Khan, Site 1227
480-716-4590
Gilbert Neurology Partners - PLLC - Avacare
Gilbert 5295903, Arizona 5551752 85297
Gilbert 5295903, Arizona 5551752 85297
Contact:
Jonathan Hodgson, Site 1247
602-761-9631
Jonathan Hodgson, Site 1247
602-761-9631
Banner Alzheimer's Institute
Phoenix 5308655, Arizona 5551752 85006-2528
Phoenix 5308655, Arizona 5551752 85006-2528
Contact:
Ganesh Gopalakrishna, Site 1217
602-839-6900
Ganesh Gopalakrishna, Site 1217
602-839-6900
Scottsdale Clinical Trials
Scottsdale 5313457, Arizona 5551752 85260-6742
Scottsdale 5313457, Arizona 5551752 85260-6742
Contact:
Khalid Salim, Site 1220
480-382-7909
Khalid Salim, Site 1220
480-382-7909
Advanced Research Center, Inc.
Anaheim 5323810, California 5332921 92805-5854
Anaheim 5323810, California 5332921 92805-5854
Contact:
Steven Macina, Site 1104
714-999-6688
Steven Macina, Site 1104
714-999-6688
Inland Psychiatric Medical Group (IPMG)-Chino
Chino 5336537, California 5332921 91710
Chino 5336537, California 5332921 91710
Contact:
Nandita Puchakayala, Site 1244
909-488-9116
Nandita Puchakayala, Site 1244
909-488-9116
Long Beach Research Institute, LLC
Long Beach 5367929, California 5332921 90805
Long Beach 5367929, California 5332921 90805
Contact:
Ashley Duzik, Site 1230
562-471-3773
Ashley Duzik, Site 1230
562-471-3773
USC - The Memory and Aging Center (MAC) - Alzheimer Disease Research Center (ADRC)
Los Angeles 5368361, California 5332921 90033-5313
Los Angeles 5368361, California 5332921 90033-5313
Contact:
Lon Schneider, Site 1226
323-442-3715
Lon Schneider, Site 1226
323-442-3715
ATP Clinical Research-302 W La Veta Ave
Orange 5379513, California 5332921 92866
Orange 5379513, California 5332921 92866
Contact:
Gustavo Alva, Site 1001
949-354-5353
Gustavo Alva, Site 1001
949-354-5353
NRC Research Institute - Orange - PPDS
Orange 5379513, California 5332921 92868-2847
Orange 5379513, California 5332921 92868-2847
Contact:
Daniel Chueh, Site 1228
714-289-1100
Daniel Chueh, Site 1228
714-289-1100
SC3 Research - Pasadena - 960 E. Green St
Pasadena 5381396, California 5332921 91106
Pasadena 5381396, California 5332921 91106
Contact:
M. Lorraine Purino, Site 1043
626-250-2070
M. Lorraine Purino, Site 1043
626-250-2070
Prospective Research Innovations 8577 Haven Ave
Rancho Cucamonga 5385955, California 5332921 91730
Rancho Cucamonga 5385955, California 5332921 91730
Contact:
Tarek Ezzeddine, Site 1213
Tarek Ezzeddine, Site 1213
University of Connecticut Health Center
Farmington 4834272, Connecticut 4831725 06030
Farmington 4834272, Connecticut 4831725 06030
Contact:
Neha Jain, Site 1222
860-790-7354
Neha Jain, Site 1222
860-790-7354
Genesis Trust Research Group
Atlantis 4146372, Florida 4155751 33462
Atlantis 4146372, Florida 4155751 33462
Contact:
Rodolfo Trejo, Site 1225
561-509-9956
Rodolfo Trejo, Site 1225
561-509-9956
Envision Trials LLC
Bonita Springs 4148533, Florida 4155751 34134
Bonita Springs 4148533, Florida 4155751 34134
Contact:
Daniel Mandri, Site 1020
305-819-2909
Daniel Mandri, Site 1020
305-819-2909
JY Research Institute Inc
Cutler Bay 6332309, Florida 4155751 33189-1230
Cutler Bay 6332309, Florida 4155751 33189-1230
Contact:
Suez Oramas Mingo, Site 1138
305-424-8696
Suez Oramas Mingo, Site 1138
305-424-8696
Arrow Clinical Trials
Daytona Beach 4152872, Florida 4155751 32117-5532
Daytona Beach 4152872, Florida 4155751 32117-5532
Contact:
David Billmeier, Site 1023
386-278-8000
David Billmeier, Site 1023
386-278-8000
Quantum Laboratories, Inc - West Palm Beach Office
Deerfield Beach 4153071, Florida 4155751 33442
Deerfield Beach 4153071, Florida 4155751 33442
Contact:
Jose De La Gandara, Site 1224
954-786-7331
Jose De La Gandara, Site 1224
954-786-7331
Integrity Clinical Research, LLC - 8000 NW 21st St
Doral 4153471, Florida 4155751 33122-1620
Doral 4153471, Florida 4155751 33122-1620
Contact:
Lucinda Cuervo-Ramos, Site 1164
305-888-0410
Lucinda Cuervo-Ramos, Site 1164
305-888-0410
New Life Medical Research Center -3750 W 16th Ave
Hialeah 4158476, Florida 4155751 33012-4648
Hialeah 4158476, Florida 4155751 33012-4648
Contact:
Jorge Betancourt, Site 1120
305-456-7782
Jorge Betancourt, Site 1120
305-456-7782
Research in Miami, Inc
Hialeah 4158476, Florida 4155751 33013
Hialeah 4158476, Florida 4155751 33013
Contact:
Dolores Sanchez Cazau, Site 1237
305-889-6670
Dolores Sanchez Cazau, Site 1237
305-889-6670
Nexus Clinical Research Center- NRC
Homestead 4159050, Florida 4155751 33030
Homestead 4159050, Florida 4155751 33030
Contact:
John Cintron, Site 1229
John Cintron, Site 1229
K2 Medical Research - Lady Lake
Lady Lake 4161118, Florida 4155751 32159
Lady Lake 4161118, Florida 4155751 32159
Contact:
Craig Curtis, Site 1040
407-426-9299
Craig Curtis, Site 1040
407-426-9299
Homestead Associates in Research Inc
Miami 4164138, Florida 4155751 33032
Miami 4164138, Florida 4155751 33032
Contact:
Angel Carrasco, Site 1159
786-422-7374
Angel Carrasco, Site 1159
786-422-7374
Premier Clinical Research Institute
Miami 4164138, Florida 4155751 33122-1335
Miami 4164138, Florida 4155751 33122-1335
Contact:
Emelina Arocha, Site 1021
305-445-5994
Emelina Arocha, Site 1021
305-445-5994
Wellness Research Center Inc - Miami
Miami 4164138, Florida 4155751 33135-1601
Miami 4164138, Florida 4155751 33135-1601
Contact:
Brian Villa, Site 1125
786-238-7099
Brian Villa, Site 1125
786-238-7099
A & D Doctor Center
Miami 4164138, Florida 4155751 33135-2968
Miami 4164138, Florida 4155751 33135-2968
Contact:
Yordan Orive Gomez, Site 1236
305-223-2000
Yordan Orive Gomez, Site 1236
305-223-2000
Floridian Neuroscience Institute-1901 SW 1 St
Miami 4164138, Florida 4155751 33135
Miami 4164138, Florida 4155751 33135
Contact:
Emilio Mantero-Atienza, Site 1115
305-326-0776
Emilio Mantero-Atienza, Site 1115
305-326-0776
Miami Jewish Health Systems
Miami 4164138, Florida 4155751 33137
Miami 4164138, Florida 4155751 33137
Contact:
Marc Agronin, Site 1010
3057518626x2403
Marc Agronin, Site 1010
3057518626x2403
MedOne Clinical Research LLC
Miami 4164138, Florida 4155751 33145-2455
Miami 4164138, Florida 4155751 33145-2455
Contact:
Thierry Jacquemin, Site 1143
305-359-7666
Thierry Jacquemin, Site 1143
305-359-7666
My Community Research Center, Inc - 7480 Bird Rd
Miami 4164138, Florida 4155751 33155-6630
Miami 4164138, Florida 4155751 33155-6630
Contact:
Cesar Guerrero, Site 1113
786-359-4867
Cesar Guerrero, Site 1113
786-359-4867
Future Care Solution LLC
Miami 4164138, Florida 4155751 33165-3947
Miami 4164138, Florida 4155751 33165-3947
Contact:
Pilar Trueba, Site 1129
305-888-0410
Pilar Trueba, Site 1129
305-888-0410
Reliant Medical Research
Miami 4164138, Florida 4155751 33165
Miami 4164138, Florida 4155751 33165
Contact:
Carlos Ramirez Calderon, Site 1150
786-801-0912
Carlos Ramirez Calderon, Site 1150
786-801-0912
Novel Clinical Research Center, LLC.
Miami 4164138, Florida 4155751 33173-1474
Miami 4164138, Florida 4155751 33173-1474
Contact:
Heber Varela, Site 1006
000-000-0000
Heber Varela, Site 1006
000-000-0000
Dade Research Center - Miami FL - 7600 SW 87th Ave
Miami 4164138, Florida 4155751 33173
Miami 4164138, Florida 4155751 33173
Contact:
Maria Nualart, Site 1111
208-346-8900
Maria Nualart, Site 1111
208-346-8900
US Associates in Research Inc
Miami 4164138, Florida 4155751 33175
Miami 4164138, Florida 4155751 33175
Contact:
Christopher Jimenez, Site 1158
305-246-0873
Christopher Jimenez, Site 1158
305-246-0873
Serenity Research Center
Miami 4164138, Florida 4155751 33176-1451
Miami 4164138, Florida 4155751 33176-1451
Contact:
Sergio Jaramillo, Site 1235
305-596-2080
Sergio Jaramillo, Site 1235
305-596-2080
IMIC LLC- 9380 SW 150th Str
Miami 4164138, Florida 4155751 33176-7947
Miami 4164138, Florida 4155751 33176-7947
Contact:
Leon Ramon, Site 1147
786-600-7005
Leon Ramon, Site 1147
786-600-7005
New Gen Health
Miami 4164138, Florida 4155751 33176
Miami 4164138, Florida 4155751 33176
Contact:
Roberto Hernando, Site 1234
305-892-1035
Roberto Hernando, Site 1234
305-892-1035
Floridian Research Institute-1021 Ives Dairy Rd
Miami 4164138, Florida 4155751 33179-2537
Miami 4164138, Florida 4155751 33179-2537
Contact:
Gretel Trullenque, Site 1105
786-391-1137
Gretel Trullenque, Site 1105
786-391-1137
High Quality Research
Miami 4164138, Florida 4155751 33184-1412
Miami 4164138, Florida 4155751 33184-1412
Contact:
Jorge Gonzalez, Site 1157
305-392-0244
Jorge Gonzalez, Site 1157
305-392-0244
New Med Research
Miami Gardens 4164167, Florida 4155751 33056-4000
Miami Gardens 4164167, Florida 4155751 33056-4000
Contact:
Marta Fernandez, Site 1126
305-269-7100
Marta Fernandez, Site 1126
305-269-7100
Panax Clinical Research
Miami Lakes 4164186, Florida 4155751 33014
Miami Lakes 4164186, Florida 4155751 33014
Contact:
Robert Perry, Site 1209
305-698-4500
Robert Perry, Site 1209
305-698-4500
Angels Clinical Research Institute - Miami Lakes - Palm Springs - PPDS
Miami Lakes 4164186, Florida 4155751 33016
Miami Lakes 4164186, Florida 4155751 33016
Contact:
Yanely Pineiro Puebla, Site 1118
786-218-1733
Yanely Pineiro Puebla, Site 1118
786-218-1733
Aqualane Clinical Research
Naples 4165565, Florida 4155751 34105
Naples 4165565, Florida 4155751 34105
Contact:
William Justiz, Site 1246
941-436-6838
William Justiz, Site 1246
941-436-6838
Sensible HealthCare, LLC
Ocoee 4166776, Florida 4155751 34761-2964
Ocoee 4166776, Florida 4155751 34761-2964
Contact:
Kelly Taylor, Site 1212
407-654-2724
Kelly Taylor, Site 1212
407-654-2724
Nova Psychiatry
Orlando 4167147, Florida 4155751 32803
Orlando 4167147, Florida 4155751 32803
Contact:
David Medina, Site 1242
407-823-8421
David Medina, Site 1242
407-823-8421
Combined Research Orlando Phase I-IV LLC
Orlando 4167147, Florida 4155751 32807-3555
Orlando 4167147, Florida 4155751 32807-3555
Contact:
Eric Carbonell, Site 1112
407-440-4493
Eric Carbonell, Site 1112
407-440-4493
Neurology Associates of Ormond Beach
Ormond Beach 4167178, Florida 4155751 32174-3101
Ormond Beach 4167178, Florida 4155751 32174-3101
Contact:
David McDonald, Site 1204
386-673-2500
David McDonald, Site 1204
386-673-2500
Progressive Medical Research (Duplicate)
Port Orange 4169156, Florida 4155751 32127
Port Orange 4169156, Florida 4155751 32127
Contact:
Alexander White, Site 1205
386-304-7070
Alexander White, Site 1205
386-304-7070
Cordova Research Institute- Sweetwater
Sweetwater 4174600, Florida 4155751 33182
Sweetwater 4174600, Florida 4155751 33182
Contact:
Delores Macksoud, Site 1133
786-631-3890
Delores Macksoud, Site 1133
786-631-3890
Angels Clinical Research Institute Tampa - Palm Springs - PPDS
Tampa 4174757, Florida 4155751 33614-2869
Tampa 4174757, Florida 4155751 33614-2869
Contact:
Al Robaina, Site 1123
813-931-0128
Al Robaina, Site 1123
813-931-0128
Guardian Angel Research
Tampa 4174757, Florida 4155751 33614
Tampa 4174757, Florida 4155751 33614
Contact:
Sadaf Bazargan, Site 1124
813-300-3300
Sadaf Bazargan, Site 1124
813-300-3300
Interventional Psychiatry of Tampa Bay
Tampa 4174757, Florida 4155751 33629-5837
Tampa 4174757, Florida 4155751 33629-5837
Contact:
Jamie Fernandez, Site 1110
813-251-1800
Jamie Fernandez, Site 1110
813-251-1800
Premiere Research Institute at Palm Beach Neurology, PA
West Palm Beach 4177887, Florida 4155751 33407-3209
West Palm Beach 4177887, Florida 4155751 33407-3209
Contact:
Paul Winner, Site 1216
561-845-0500
Paul Winner, Site 1216
561-845-0500
Agile Clinical Research Trials, LLC
Atlanta 4180439, Georgia 4197000 30328-5532
Atlanta 4180439, Georgia 4197000 30328-5532
Contact:
Vasundhara Cheekati, Site 1206
404-382-8660
Vasundhara Cheekati, Site 1206
404-382-8660
McLean Hospital
Belmont 4930282, Massachusetts 6254926 02478-1064
Belmont 4930282, Massachusetts 6254926 02478-1064
Contact:
Arkadiy Stolyar, Site 1223
617-855-2136
Arkadiy Stolyar, Site 1223
617-855-2136
Tufts Medical Center - 800 Washington St - PPDS
Boston 4930956, Massachusetts 6254926 02111-1552
Boston 4930956, Massachusetts 6254926 02111-1552
Contact:
Brent Forester, Site 1245
617-636-3108
Brent Forester, Site 1245
617-636-3108
Boston Neuro Research Center
North Dartmouth 4945601, Massachusetts 6254926 02747-2612
North Dartmouth 4945601, Massachusetts 6254926 02747-2612
Contact:
Mushtaque Chachar, Site 1243
508-925-7403
Mushtaque Chachar, Site 1243
508-925-7403
Elixia Health - Springfield - Elixia - PPDS
Springfield 4951788, Massachusetts 6254926 01103
Springfield 4951788, Massachusetts 6254926 01103
Contact:
Susan Smiga, Site 1239
413-305-1142
Susan Smiga, Site 1239
413-305-1142
Neurobehavioral Medicine Group (NBMG)
Bloomfield Township 7259551, Michigan 5001836 48302-1909
Bloomfield Township 7259551, Michigan 5001836 48302-1909
Contact:
Richard Jackson, Site 1248
412-916-2425
Richard Jackson, Site 1248
412-916-2425
Precise Research Centers
Flowood 4426822, Mississippi 4436296 39232
Flowood 4426822, Mississippi 4436296 39232
Contact:
Joseph Kwentus, Site 1132
601-420-5810
Joseph Kwentus, Site 1132
601-420-5810
Advanced Memory Research Institute - CenExel - PPDS
Toms River 4504476, New Jersey 5101760 08755
Toms River 4504476, New Jersey 5101760 08755
Contact:
Arun Singh, Site 1202
732-341-9500
Arun Singh, Site 1202
732-341-9500
Bio Behavioral Health
Toms River 4504476, New Jersey 5101760 08755
Toms River 4504476, New Jersey 5101760 08755
Contact:
Ashok Patel, Site 1232
732-244-2299
Ashok Patel, Site 1232
732-244-2299
Five Towns Neurology, PC
Woodmere 5145028, New York 5128638 11598-1739
Woodmere 5145028, New York 5128638 11598-1739
Contact:
David Steiner, Site 1025
516-239-1800
David Steiner, Site 1025
516-239-1800
Triad Clinical Trials - 515 College Rd
Greensboro 4469146, North Carolina 4482348 27410-3311
Greensboro 4469146, North Carolina 4482348 27410-3311
Contact:
Richard Montgomery, Site 1221
336-235-0991
Richard Montgomery, Site 1221
336-235-0991
AMC Research, LLC - Flourish - PPDS
Matthews 4478334, North Carolina 4482348 28105-8336
Matthews 4478334, North Carolina 4482348 28105-8336
Contact:
Mohammad Bolouri, Site 1214
704-364-4000
Mohammad Bolouri, Site 1214
704-364-4000
West Clinical Research
Morehead City 4480153, North Carolina 4482348 28557
Morehead City 4480153, North Carolina 4482348 28557
Contact:
Patrick Morgante, Site 1215
252-515-0050
Patrick Morgante, Site 1215
252-515-0050
Ohio State University
Columbus 4509177, Ohio 5165418 43221
Columbus 4509177, Ohio 5165418 43221
Contact:
Douglas Scharre, Site 1201
614-293-4560
Douglas Scharre, Site 1201
614-293-4560
Insight Clinical Trials LLC - Independence
Independence 5158404, Ohio 5165418 44131
Independence 5158404, Ohio 5165418 44131
Contact:
Mark Stillman, Site 1249
216-444-8897
Mark Stillman, Site 1249
216-444-8897
The Rivus Wellness & Research Institute
Oklahoma City 4544349, Oklahoma 4544379 73112
Oklahoma City 4544349, Oklahoma 4544379 73112
Contact:
Marvin Peyton, Site 1016
405-317-5783
Marvin Peyton, Site 1016
405-317-5783
Alzheimer's Disease and Memory Disorders Center at Rhode Island Hospital
Providence 5224151, Rhode Island 5224323 02903
Providence 5224151, Rhode Island 5224323 02903
Contact:
Chuang-Kuo Wu, Site 1218
714-456-7002
Chuang-Kuo Wu, Site 1218
714-456-7002
Vanderbilt Psychiatric Hospital
Nashville 4644585, Tennessee 4662168 37212-3133
Nashville 4644585, Tennessee 4662168 37212-3133
Contact:
Jo Wilson, Site 1211
615-322-4967
Jo Wilson, Site 1211
615-322-4967
Epic Medical Research LLC - DeSoto - HyperCore - PPDS
DeSoto 4685524, Texas 4736286 75115-2043
DeSoto 4685524, Texas 4736286 75115-2043
Contact:
Haresh Boghara, Site 1121
972-777-6956
Haresh Boghara, Site 1121
972-777-6956
Advanced Neuro Research Center - El Paso
El Paso 5520993, Texas 4736286 79912-1743
El Paso 5520993, Texas 4736286 79912-1743
Contact:
Aamr Herekar, Site 1208
505-903-1715
Aamr Herekar, Site 1208
505-903-1715
AIM Trials
Plano 4719457, Texas 4736286 75093-8225
Plano 4719457, Texas 4736286 75093-8225
Contact:
Sejal Mehta, Site 1238
972-267-1988
Sejal Mehta, Site 1238
972-267-1988
Glenn Biggs Institute for Alzheimer's & Neurodegenerative Diseases
San Antonio 4726206, Texas 4736286 78229-3901
San Antonio 4726206, Texas 4736286 78229-3901
Contact:
Antonio Teixeira, Site 1210
210-567-8229
Antonio Teixeira, Site 1210
210-567-8229
R & H Clinical Research-3727 Greenbriar Dr
Stafford 4734005, Texas 4736286 77477-3929
Stafford 4734005, Texas 4736286 77477-3929
Contact:
Mustafa Zaidi, Site 1134
832-356-3238
Mustafa Zaidi, Site 1134
832-356-3238
Conquest Research - Arlington
Arlington 4744709, Virginia 6254928 22205
Arlington 4744709, Virginia 6254928 22205
Contact:
Henry Tran, Site 1241
703-717-7755
Henry Tran, Site 1241
703-717-7755
Santa Cruz Behavioral PSC
Bayamón 4562831, Puerto Rico 00961-6910
Bayamón 4562831, Puerto Rico 00961-6910
Contact:
William Julio De Jesus, Site 1303
7877984592
William Julio De Jesus, Site 1303
7877984592
CDT Grupo Medico San Pablo Inc.
Bayamón 4562831, Puerto Rico 961
Bayamón 4562831, Puerto Rico 961
Contact:
Ismael Toro-Grajales, Site 1301
8888888888
Ismael Toro-Grajales, Site 1301
8888888888
Instituto De Neurologia Dra. Ivonne Fraga,Psc
San Juan 4568127, Puerto Rico 00918-4502
San Juan 4568127, Puerto Rico 00918-4502
Contact:
Ivonne De L Fraga Berrios, Site 1302
7874035534
Ivonne De L Fraga Berrios, Site 1302
7874035534
Barbara Diaz Hernandez MD Research Inc
San Juan 4568127, Puerto Rico 00926-3160
San Juan 4568127, Puerto Rico 00926-3160
Contact:
Ileana Fumero-Perez, Site 1304
Ileana Fumero-Perez, Site 1304
More Details
- Status
- Recruiting
- Sponsor
- Karuna Therapeutics
Study Contact
BMS Clinical Trials Contact Center www.BMSClinicalTrials.com855-907-3286
Clinical.Trials@bms.com